| NPI | 1801457908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 10055) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 59.000869) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC007042) | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2023-07-15 |